Prestigious Care of North West Florida

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRESTIGIOUS CARE OF NORTH WEST FLORIDA

Practice address

1015 Louisiana Ave
Panama City, FL 32401-3424

Phone

(850) 276-0916

NPI assigned

Oct 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lamary Phillips, LPN

Title

Owner

Phone

(850) 276-0916

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1447701826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LOUISIANA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013424",
            "telephone_number": "850-276-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LOUISIANA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013424",
            "telephone_number": "850-276-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS CARE OF NORTH WEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LAMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-276-0916",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Panama City, FL
• Providers in Panama City, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.